| NPI | 1962515551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 319873) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 237177) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI MD16374) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2025-10-29 |